Long-term effects of psychological symptoms after occupational injury on return to work

A 6-year follow-up

Po Ching Chu, Wei Shan Chin, Yue Leon Guo, Judith Shu Chu Shiao

Research output: Contribution to journalArticle

Abstract

Psychological factors may compromise return to work among workers with occupational injuries, and little is known about the long-term consequences of psychological symptoms relating to return to work. The study examined the impact of psychological symptoms on return to work as well as exploring factors associated with return to work among injured workers. A total of 572 workers who experienced occupational injuries were recruited in this prospective cohort study. Surveys of the psychological symptoms using the 5-item Brief Symptom Rating Scale (BSRS-5) were conducted at 3 and 12 months after the injury. All of the workers were invited to join the study at year 6 after the injury. Sociodemographic factors, psychological symptoms, injury severity, and return-to-work status were collected. Approximately 10% of injured workers could not return to work even 6 years after the injury. Severe psychological symptoms within 1 year after the injury presented a significant risk factor for not returning to work 6 years after the injury (adjusted OR = 0.7, 95% CI: 0.5–0.8). Furthermore, age, education level, length of hospitalization, and injury-induced changes in appearance had significant independent influence on return to work as well. These findings highlight the importance of the effects of mental health within 1 year post injury on return to work, and support the concept of early screening, detection, and intervention in at-risk occupational injured workers with severe psychological symptoms.

Original languageEnglish
Article number235
Pages (from-to)235
JournalInternational Journal of Environmental Research and Public Health
Volume16
Issue number2
DOIs
Publication statusPublished - Jan 15 2019

Fingerprint

Occupational Injuries
Return to Work
Psychology
Wounds and Injuries
Mental Health
Hospitalization
Cohort Studies
Prospective Studies
Education

Keywords

  • Occupational injury
  • Psychology
  • Return to work

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Cite this

Long-term effects of psychological symptoms after occupational injury on return to work : A 6-year follow-up. / Chu, Po Ching; Chin, Wei Shan; Guo, Yue Leon; Shiao, Judith Shu Chu.

In: International Journal of Environmental Research and Public Health, Vol. 16, No. 2, 235, 15.01.2019, p. 235.

Research output: Contribution to journalArticle

@article{02bc626c8d0d40ab83c5446aa0dab7b4,
title = "Long-term effects of psychological symptoms after occupational injury on return to work: A 6-year follow-up",
abstract = "Psychological factors may compromise return to work among workers with occupational injuries, and little is known about the long-term consequences of psychological symptoms relating to return to work. The study examined the impact of psychological symptoms on return to work as well as exploring factors associated with return to work among injured workers. A total of 572 workers who experienced occupational injuries were recruited in this prospective cohort study. Surveys of the psychological symptoms using the 5-item Brief Symptom Rating Scale (BSRS-5) were conducted at 3 and 12 months after the injury. All of the workers were invited to join the study at year 6 after the injury. Sociodemographic factors, psychological symptoms, injury severity, and return-to-work status were collected. Approximately 10{\%} of injured workers could not return to work even 6 years after the injury. Severe psychological symptoms within 1 year after the injury presented a significant risk factor for not returning to work 6 years after the injury (adjusted OR = 0.7, 95{\%} CI: 0.5–0.8). Furthermore, age, education level, length of hospitalization, and injury-induced changes in appearance had significant independent influence on return to work as well. These findings highlight the importance of the effects of mental health within 1 year post injury on return to work, and support the concept of early screening, detection, and intervention in at-risk occupational injured workers with severe psychological symptoms.",
keywords = "Occupational injury, Psychology, Return to work, Occupational injury, Psychology, Return to work",
author = "Chu, {Po Ching} and Chin, {Wei Shan} and Guo, {Yue Leon} and Shiao, {Judith Shu Chu}",
year = "2019",
month = "1",
day = "15",
doi = "10.3390/ijerph16020235",
language = "English",
volume = "16",
pages = "235",
journal = "International Journal of Environmental Research and Public Health",
issn = "1661-7827",
publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",
number = "2",

}

TY - JOUR

T1 - Long-term effects of psychological symptoms after occupational injury on return to work

T2 - A 6-year follow-up

AU - Chu, Po Ching

AU - Chin, Wei Shan

AU - Guo, Yue Leon

AU - Shiao, Judith Shu Chu

PY - 2019/1/15

Y1 - 2019/1/15

N2 - Psychological factors may compromise return to work among workers with occupational injuries, and little is known about the long-term consequences of psychological symptoms relating to return to work. The study examined the impact of psychological symptoms on return to work as well as exploring factors associated with return to work among injured workers. A total of 572 workers who experienced occupational injuries were recruited in this prospective cohort study. Surveys of the psychological symptoms using the 5-item Brief Symptom Rating Scale (BSRS-5) were conducted at 3 and 12 months after the injury. All of the workers were invited to join the study at year 6 after the injury. Sociodemographic factors, psychological symptoms, injury severity, and return-to-work status were collected. Approximately 10% of injured workers could not return to work even 6 years after the injury. Severe psychological symptoms within 1 year after the injury presented a significant risk factor for not returning to work 6 years after the injury (adjusted OR = 0.7, 95% CI: 0.5–0.8). Furthermore, age, education level, length of hospitalization, and injury-induced changes in appearance had significant independent influence on return to work as well. These findings highlight the importance of the effects of mental health within 1 year post injury on return to work, and support the concept of early screening, detection, and intervention in at-risk occupational injured workers with severe psychological symptoms.

AB - Psychological factors may compromise return to work among workers with occupational injuries, and little is known about the long-term consequences of psychological symptoms relating to return to work. The study examined the impact of psychological symptoms on return to work as well as exploring factors associated with return to work among injured workers. A total of 572 workers who experienced occupational injuries were recruited in this prospective cohort study. Surveys of the psychological symptoms using the 5-item Brief Symptom Rating Scale (BSRS-5) were conducted at 3 and 12 months after the injury. All of the workers were invited to join the study at year 6 after the injury. Sociodemographic factors, psychological symptoms, injury severity, and return-to-work status were collected. Approximately 10% of injured workers could not return to work even 6 years after the injury. Severe psychological symptoms within 1 year after the injury presented a significant risk factor for not returning to work 6 years after the injury (adjusted OR = 0.7, 95% CI: 0.5–0.8). Furthermore, age, education level, length of hospitalization, and injury-induced changes in appearance had significant independent influence on return to work as well. These findings highlight the importance of the effects of mental health within 1 year post injury on return to work, and support the concept of early screening, detection, and intervention in at-risk occupational injured workers with severe psychological symptoms.

KW - Occupational injury

KW - Psychology

KW - Return to work

KW - Occupational injury

KW - Psychology

KW - Return to work

UR - http://www.scopus.com/inward/record.url?scp=85060159815&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85060159815&partnerID=8YFLogxK

U2 - 10.3390/ijerph16020235

DO - 10.3390/ijerph16020235

M3 - Article

VL - 16

SP - 235

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

SN - 1661-7827

IS - 2

M1 - 235

ER -